The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA.
The nurse interprets this information as indicating which part as the presenting part?.

Face.

Shoulder.

Occiput.

Buttocks.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

The face as the presenting part is not indicated by LSA. LSA stands for Left Sacrum Anterior, which indicates the baby’s position in the womb.

Choice B rationale:

The shoulder as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.

Choice C rationale:

The occiput as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.

Choice D rationale:

The buttocks as the presenting part is indicated by LSA. LSA (Left Sacrum Anterior) means the baby’s sacrum (buttocks) is presenting, and it is oriented to the mother’s left side and is facing forward (anterior).

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Correct Answer is D

Explanation

Choice A rationale:

Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.

Choice B rationale:

A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.

Choice C rationale:

Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.

Choice D rationale:

Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.

A. "I should avoid drinking orange juice.”. B. "I need to eat foods high in fiber.”. C. "I should take my iron with milk.”. D. "I'll call the primary care provider if my stool is black and tarry.”.

Correct Answer is B

Explanation

Choice A rationale:

Orange juice enhances iron absorption and should not be avoided.

Choice B rationale:

Eating foods high in fiber can prevent constipation, a side effect of iron supplements.

Choice C rationale:

Iron should not be taken with milk as it inhibits iron absorption.

Choice D rationale:

Black, tarry stools are a common side effect of iron supplements and are not usually a concern.

So, the correct answer is B. “I need to eat foods high in fiber.”.

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The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA. The nurse interprets this information as indicating which part as the presenting part?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA.
The nurse interprets this information as indicating which part as the presenting part?.